The nurse identifies a need for additional teaching when the ...

[khang]

The nurse identifies a need for additional teaching when the patient who is self-monitoring blood glucose
 
  a. washes the puncture site using warm water and soap.
  b. chooses a puncture site in the center of the finger pad.
  c. hangs the arm down for a minute before puncturing the site.
  d. says the result of 120 mg indicates good blood sugar control.

Question 2

The nurse is preparing to teach a 43-year-old man who is newly diagnosed with type 2 diabetes about home management of the disease. Which action should the nurse take first?
 
  a. Ask the patient's family to participate in the diabetes education program.
  b. Assess the patient's perception of what it means to have diabetes mellitus.
  c. Demonstrate how to check glucose using capillary blood glucose monitoring.
  d. Discuss the need for the patient to actively participate in diabetes management.

[Tonny]

Answer to Question 1

ANS: B
The patient is taught to choose a puncture site at the side of the finger pad because there are fewer nerve endings along the side of the finger pad. The other patient actions indicate that teaching has been effective.

Answer to Question 2

ANS: B
Before planning teaching, the nurse should assess the patient's interest in and ability to self-manage the diabetes. After assessing the patient, the other nursing actions may be appropriate, but planning needs to be individualized to each patient.